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Resolving Epibole With Polymeric Membrane Dressings in Home Care.
- Source :
-
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society [J Wound Ostomy Continence Nurs] 2017 Jan/Feb; Vol. 44 (1), pp. 89-92. - Publication Year :
- 2017
-
Abstract
- Background: The management of chronic (nonhealing) wounds with epibole is challenging and costly, especially when the problem is not promptly identified or the patient is intolerant to conventional treatments.<br />Case Description: We describe the use of a polymeric membrane dressing (PMD) in 3 patients with chronic (nonhealing) wounds and epibole who were unable to be treated with traditional interventions such as silver nitrate or sharp debridement. Patient 1 was a 51 year-old male with a right foot stasis ulcer with 60% fibrin/slough to the wound bed, patient 2 was a 58-year-old female with a stage 4 pressure injury of the left hip with undermining, and patient 3 was a 62-year-old female with a dehisced abdominal surgical wound.<br />Conclusion: The use of PMD, when applied using a specific technique, proved to be effective for resolving epibole in 3 patients with nonhealing wounds of differing etiologies. Based on these experiences, we postulate that topical therapy using a PMD may provide an effective alternative means for resolving epibole and promoting wound healing in patients unable to undergo surgical excision or chemical cauterization.
- Subjects :
- Administration, Topical
Anti-Infective Agents administration & dosage
Anti-Infective Agents therapeutic use
Combined Modality Therapy methods
Epithelial Cells drug effects
Female
Humans
Male
Middle Aged
Pressure Ulcer physiopathology
Pressure Ulcer therapy
Surgical Wound Dehiscence physiopathology
Surgical Wound Dehiscence therapy
Varicose Ulcer physiopathology
Varicose Ulcer therapy
Wound Infection prevention & control
Wound Infection therapy
Bandages standards
Combined Modality Therapy instrumentation
Epithelial Cells metabolism
Treatment Outcome
Wound Healing
Subjects
Details
- Language :
- English
- ISSN :
- 1528-3976
- Volume :
- 44
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
- Publication Type :
- Academic Journal
- Accession number :
- 28060006
- Full Text :
- https://doi.org/10.1097/WON.0000000000000296